Esperal Warsaw – Alcohol Implant Disulfiram

Alcohol implant (Esperal / Disulfiram) implantation is one of the most effective methods supporting abstinence and maintaining sobriety. At Nasz Gabinet, this procedure is part of a comprehensive treatment plan including detox, therapy, and pharmacotherapy. The most popular option among our Patients is the VIP alcohol implant — safe, comfortable, and effective with maximum medication concentration. Book your appointment online and start a new chapter of your life without alcohol.

Gawędziarzy 18a, 04-401 Warsaw

Wszywka 349 PLN
procedure with own medication

Alcohol implant pricing Warsaw

  • Standard Implant
    Standard Implant
    Buy online799 zł
    • Non-absorbable sutures
    • Free follow-up
    • Antibiotic prescription
  • most popular
    VIP Implant
    VIP Implant
    Buy online1099 zł
    • Absorbable sutures
    • Free follow-up
    • Intramuscular antibiotic
    • Prescription for anti-craving medication
    • Prescription for reinforcing medication
  • 6h Detox + Implant
    6h Detox + Implant
    Buy online1899 zł
    • Non-absorbable sutures
    • Free follow-up
    • Antibiotic prescription
    • 6h alcohol detox
    • Standard Implant
  • 12h Detox + VIP Implant
    12h Detox + VIP Implant
    Buy online2499 zł
    • Absorbable sutures
    • Free follow-up
    • Intramuscular antibiotic
    • Prescription for anti-craving medication
    • Prescription for reinforcing medication
    • 12h alcohol detox
    • VIP Implant
  • Exclusive Implant
    Exclusive Implant
    Buy online1900 zł
    • Absorbable sutures
    • Free follow-up
    • Intramuscular antibiotic
    • Prescription for anti-craving medication
    • Prescription for reinforcing medication
    • 2 free consultations
EXPERT INFORMATION

Alcohol implant Warsaw – comprehensive treatment guide

What is Esperal alcohol implant Warsaw?

Esperal, also known as disulfiram, is a medication used in aversion therapy for alcohol disease. It works by inducing negative physiological reactions after alcohol consumption, effectively discouraging the patient from further drinking.

Alcohol implant in Warsaw is a procedure of implanting Disulfiram tablets under the gluteal muscle fascia, performed at Nasz Gabinet facility at Gawędziarzy 18a street in Rembertów district. The active substance is gradually released into the body over a period of 8-12 months, creating a pharmacological barrier against ethyl alcohol.

Key facts about Disulfiram:

  • Registered in Poland as a prescription drug (Rp)
  • Used in medicine since 1951
  • Shows no psychoactive or toxic effects during abstinence
  • Acts only upon contact of the body with ethyl alcohol
  • Element of aversion therapy recognized by the World Health Organization (WHO)

This method is particularly effective for individuals who need external pharmacological support in maintaining abstinence during the first months of sobriety.

Alcohol Implant in Warsaw

At our clinic at Gawędziarzy 18a street in Warsaw, we have been performing Esperal implantations since 2015. We serve patients from all over Mazovia: Warsaw, Radom, Płock, Siedlce, Otwock, Pruszków and surrounding areas.

How Esperal works – mechanism of disulfiram reaction

Original Esperal medication blocks the enzyme aldehyde dehydrogenase, resulting in accumulation of acetaldehyde in the body after consumption of alcoholic beverages. Acetaldehyde is a toxic alcohol metabolite, whose accumulation leads to unpleasant ailments.

Normal alcohol metabolism in the body:

  1. Ethyl alcohol is converted by ADH enzyme into acetaldehyde
  2. Acetaldehyde – a highly toxic substance – is broken down by ALDH enzyme into harmless acetic acid
  3. Acetic acid is then metabolized into water and carbon dioxide

Disulfiram reaction after alcohol consumption with implant includes:

  • Severe nausea and intense vomiting
  • Throbbing headache
  • Accelerated heartbeat (tachycardia)
  • Sudden blood pressure drop
  • Facial and neck flushing (flush reaction)
  • Shortness of breath and feeling of lack of air
  • Intense sweating
  • Feeling of heat throughout the body and severe anxiety

This mechanism makes reaching for alcohol even in small amounts after taking Esperal extremely unpleasant and may result in permanent health damage. In extreme cases, the reaction can lead to cardiovascular collapse.

Esperal Warsaw – why is the alcohol implant procedure worth it?

The decision for alcohol implantation is a brave step towards sober life. At Our Clinic in Warsaw, the Esperal implantation procedure is performed in safe, comfortable conditions by experienced doctors.

We care not only about therapy effectiveness, but also about discretion, understanding and support at every stage of treatment. Thanks to the combination of modern medical methods and empathetic approach, we help Patients regain control over their lives – calmly, professionally and without judgment.

The implant is particularly helpful for individuals who:

  • Have self-control problems and need external pharmacological support
  • Have repeatedly tried to maintain sobriety without success
  • Want to protect themselves against impulsive reaching for alcohol in difficult moments
  • Completed alcohol detoxification and maintain minimum 24-48 hours of abstinence
  • Are ready for comprehensive treatment combining pharmacotherapy with psychotherapy
  • Need "protection time" to build new habits

According to data, alcohol problem already affects 12% of our society, and its effects negatively impact the functioning of hundreds of thousands of families. Alcohol implant is one of the most effective tools supporting the first phase of sobering up.

Esperal implantation procedure at Nasz Gabinet Warsaw

We perform the Esperal implantation procedure with the highest care for Patient safety and comfort. This is a modern, effective method supporting alcohol addiction treatment, performed by experienced surgeons in sterile conditions.

The entire process – from medical consultation to the procedure itself – proceeds calmly and with full explanation of each stage, so that the Patient feels confident and knows what to expect. Our goal is not only therapy effectiveness, but also a sense of trust and support at every step.

Procedure stages step by step:

  1. Medical consultation – medical interview, abstinence verification, procedure discussion
  2. Operating field preparation – disinfection of gluteal area
  3. Local anesthesia – the only palpable prick during the entire procedure
  4. Skin incision – small cut
  5. Tablet implantation – Disulfiram placement under muscle fascia
  6. Wound suturing – 2-3 stitches (VIP and Exclusive packages use dissolvable stitches)
  7. Dressing and observation – 15-30 minutes of monitoring after procedure

Procedure characteristics: total time at clinic about 45 minutes, surgical procedure itself 20-30 minutes, local anesthesia only, no hospitalization, independent return home.

Esperal at Nasz Gabinet Warsaw – alcohol implant packages price list

Costs of Esperal medication implantation procedure at our clinic are varied and tailored to different patient needs. We offer several options that differ in service scope and comfort.

Basic Alcohol Implant – 799 PLN

Disulfiram implantation in minimum concentration, non-dissolvable stitches, free follow-up visit, individual dose adjustment to health condition.

Standard Alcohol Implant – 799 PLN

standard medication concentration, non-dissolvable stitches, intramuscular antibiotic as prevention element, free follow-up visit.

VIP Alcohol Implant – 1099 PLN (most frequently chosen)

standard medication concentration, dissolvable stitches (do not require removal), intramuscular antibiotic, prescription for medication reducing alcohol craving, prescription for medication enhancing implant action, free follow-up visit.

Exclusive Alcohol Implant – 1900 PLN

higher medication concentration guaranteeing high effectiveness, dissolvable stitches, intramuscular antibiotic, prescription for medication limiting alcohol craving, prescription enhancing implant action, 2 free medical consultations.

6h Detox + Implant – 1899 PLN

6-hour detox under constant medical care + implant implantation with standard disulfiram dose. Ideal solution for patients after alcohol binge who cannot independently maintain 24-hour abstinence.

12h Detox + VIP Implant – 2499 PLN

12-hour intensive detox with full medical monitoring + VIP implant implantation with high medication concentration. Package for patients requiring longer stabilization before procedure – especially after multi-day alcohol binges or with severe withdrawal symptoms.

Alcohol implant Warsaw - we serve all of Mazovia

Our clinic in Warsaw serves patients from the entire Mazovian Voivodeship and surrounding areas.

Nearby locations with good access to Warsaw:

Radom

Płock

Siedlce

Otwock

Pruszków

Piaseczno

Legionowo

Grodzisk Mazowiecki

Mińsk Mazowiecki

Wołomin

Ciechanów

Garwolin

Why choose Warsaw for implant procedure?

Warsaw as Poland's capital offers the best transport accessibility for patients from all of Mazovia and neighboring voivodeships. The visit is maximally convenient even for people traveling from distant locations.

Esperal Warsaw – contraindications and possible side effects

Alcohol implant, although an effective method supporting the fight against alcohol disease, is not suitable for everyone. Before deciding on the procedure, attention should be paid to contraindications and possible side effects.

Who should not use Esperal medication?

  • Individuals allergic to disulfiram or any preparation components
  • Patients suffering from cardiovascular diseases (heart failure, arterial hypertension, coronary disease)
  • Individuals with severe liver and kidney disorders
  • Patients with mental disorders (psychoses, severe depressions)
  • Pregnant women and breastfeeding mothers
  • Individuals using metronidazole (risk of psychotic reactions)

Relative contraindications (requiring consultation): diabetes, hypothyroidism, epilepsy, arterial hypertension.

Potential side effects of alcohol implant

  • Skin reactions at implantation site (redness, swelling, itching)
  • In rare cases headaches, fatigue, drowsiness
  • In exceptional situations neurological disorders

Consuming even a small amount of alcohol during disulfiram action can lead to serious life-threatening reactions. Therefore strict adherence to medical recommendations is extremely important.

Recommendations after Esperal implantation procedure in Warsaw

Esperal implantation procedure is safe, provided that patients adhere to specific post-procedure recommendations. This will help avoid negative effects of alcohol implant implantation.

How to care for yourself after Esperal implantation procedure?

  • For the first 24h after procedure do not perform physical tasks
  • During the next few days avoid significant wound wetting – bathing in bathtub or pool is out of the question
  • Gently wash wound area using mild cleansing agents
  • Ensure wound stays dry – this reduces infection risk
  • Avoid intensive physical exertion for the first two weeks
  • Wear loose clothing – tight clothes may irritate procedure site

Symptoms requiring doctor contact

  • Increasing wound redness or swelling
  • Purulent discharge or unpleasant odor
  • Fever above 38°C
  • Severe pain not subsiding after paracetamol

In case of any doubts call 880 808 880 – our team is available 7 days a week.

Duration of alcohol implant action

Esperal action typically lasts for a period of 8 to 12 months. During this time, the active substance – disulfiram – is gradually released into the body, preventing alcohol metabolism and causing unpleasant symptoms after its consumption.

Factors affecting action duration:

  • Patient's individual metabolism
  • Body weight
  • Physical activity
  • Dose and disulfiram concentration in implant

It's worth noting that implant action duration may differ depending on individual body characteristics, therefore regular doctor follow-up visits are very important. After the implant action period expires, the procedure can be repeated if patient and doctor deem it necessary. There is no limit on number of procedures.

Alcohol implant Warsaw – clinic location

Our clinic in Warsaw is located in Rembertów district, in a convenient location with easy access both by public transport and by car.

Address details:

  • Address: Gawędziarzy 18a street, 04-401 Warsaw (Rembertów district)
  • Phone: +48 880 808 880
  • Email: kontakt@nasz-gabinet.pl
  • Opening hours: Monday-Sunday 8:00-20:00

Esperal alcohol implant implantation procedure is performed in comfortable and safe conditions by experienced medical personnel. We maintain the highest hygiene and sterility standards, minimizing complication risk.

Access:

  • Public transport: bus stops nearby
  • By car: parking at clinic

Our facility is easily accessible, and patients can count on full discretion and support before and after procedure. Phone registration: 880 808 880 or through online e-registration system.

Implant as part of comprehensive alcoholism therapy

Alcohol implant is most effective when it constitutes part of comprehensive therapy including psychological support and supporting therapy. Implant alone does not cure addiction – it prevents drinking for 8-12 months, giving time to work through drinking causes.

Comprehensive therapy elements:

  1. Alcohol detoxification – safe binge interruption and physical condition stabilization
  2. Esperal implant – pharmacological barrier for 8-12 months
  3. Individual psychotherapy – working through addiction causes, defense mechanisms
  4. Group therapy – experience sharing, peer support
  5. Support groups – motivation through shared experiences

Professional psychological help is crucial during addiction treatment, as it helps patients cope with emotional and mental challenges related to abstinence.

Combining Esperal implant with comprehensive psychological therapy significantly increases chances of permanent recovery from addiction and improving patient's quality of life.

Benefits of Esperal therapy in Warsaw

Alcoholism treatment through disulfiram implantation is a recognized method supporting the fight against alcohol addiction. It offers a range of benefits that can significantly facilitate the recovery process and improve quality of life.

Direct benefits (first weeks):

  • Absolute protection against impulsive reaching for alcohol
  • Elimination of daily struggle with drinking temptation
  • Mental peace resulting from "external barrier"
  • Ability to focus on therapy

Long-term benefits (6-12 months):

  • Effective blocking of alcohol metabolism
  • Ability to build healthy habits during safe sobriety period
  • Physical health improvement and disease risk reduction
  • Social and professional functioning improvement
  • Better sleep quality and mental well-being
  • Family relationship rebuilding and increased motivation for further treatment

Types of alcoholics – for whom is implant particularly effective?

Alcohol addiction takes various forms. Alcohol implant is particularly helpful for specific types of patients:

  • High-functioning alcoholic – person maintaining appearances of normal professional and family life despite addiction. Often seeks help late because "managing". Implant provides external motivation lacking with preserved control over other life spheres.
  • Weekend alcoholic – drinks intensively from Friday to Sunday, maintaining abstinence during the week. Implant protects against "weekend slip-ups" and helps break the cyclical pattern.
  • Patients after alcohol binges – after binge end and detox, implant provides protection against relapse in the first, most difficult months of sobriety.

Regardless of addiction type, implant is a tool – full treatment requires parallel psychotherapy. At Nasz Gabinet Warsaw we combine implantation with comprehensive therapy.

Dry alcoholic – why implant alone is not enough

Dry alcoholic is a person who doesn't drink but hasn't undergone therapy and hasn't worked through addiction causes. Characterized by:

  • Abstinence without work on emotions and drinking mechanisms
  • Maintaining dysfunctional behavior patterns (irritability, control, avoidance)
  • High relapse risk after implant action ends
  • Often: frustration, depression, tension despite sobriety

Why is psychotherapy necessary with alcohol implant?

Esperal implant alone doesn't cure addiction – it prevents drinking for 8-12 months. This time is invaluable, but only when used for therapy. Patient who finishes implant action period without working through drinking causes remains a "dry alcoholic" with high risk of addiction return.

At Nasz Gabinet Warsaw we combine implantation with psychotherapy to ensure lasting change. We offer access to therapists specializing in addiction treatment.

Anti-alcohol injection Warsaw – what's worth knowing?

On the internet there are many offers regarding so-called anti-alcohol injection. Patients from Warsaw and surrounding areas often ask us about this method. We explain the facts.

Legal status in Poland:

In Poland there is no registered anti-alcohol injection. The only available method of pharmacological implantation is disulfiram for implantation (Disulfiram WZF) – this is the only such preparation authorized for circulation on the Polish market by the Office for Registration of Medicinal Products.

Warning against fraud:

  • All "anti-alcohol injection" offers should be treated as dishonest practices
  • No such agent has been registered or authorized for circulation in Poland
  • Administering unregistered substances poses a threat to health and life
  • Dishonest companies often exploit the desperation of addicted individuals and their families

Proven treatment methods in Warsaw:

At Nasz Gabinet at Gawędziarzy 18a street in Warsaw we offer only legal and registered treatment methods: Esperal implant (Disulfiram WZF), alcohol detoxification and addiction psychotherapy. Every procedure is performed by a doctor using original, certified preparations.

Alcohol implant with home visit Warsaw

Performing alcohol implant with home visit to patient is theoretically possible, however in practice we strongly advise against it. The procedure requires sterile conditions – it involves skin and subcutaneous tissue incision, reaching muscle, fascia incision and medication implantation. The preparation itself is sterile and properly packaged to contain no bacteria and enable proper healing. Performing such procedure in home conditions, i.e., non-sterile, significantly increases complication and infection risk. For this reason, disulfiram implantation procedures should be performed exclusively in properly prepared medical premises.

Why Nasz Gabinet Warsaw – our advantages

Using Our Clinic services in Warsaw, Patients can count on highest quality service and safety assurance at every treatment stage.

Experience and professionalism:

  • Experienced doctors specializing in addiction treatment
  • Thousands of performed implantation procedures
  • Sterile conditions and modern equipment
  • Constant medical supervision during procedure

Comprehensive care:

  • Full diagnostics and qualification before procedure
  • Possibility to combine detox with implant
  • Follow-up visit included in package price
  • Phone availability 7 days a week

Patient comfort:

  • Discreet location
  • Short waiting time for procedure (often same day)
  • Clinic open daily 8:00-20:00, also on weekends
  • Flexible appointment times

Book appointment: call 880 808 880 or use online e-registration.

QUESTIONS AND ANSWERS

Alcohol implant Warsaw - FAQ

Esperal implant prices at Nasz Gabinet Warsaw start from 799 PLN for Standard package. Also available are Standard, VIP and Exclusive packages with additional services (dissolvable stitches, antibiotic, supporting prescriptions). Current price list can be found in the section above.

Esperal (disulfiram) is a medication used in therapy supporting alcohol addiction treatment. Manufacturer's guarantee is 8 months, however in practice original Esperal works even up to 12 months. Action duration depends on individual body characteristics, metabolic conditions and patient's lifestyle. Next implantation procedure can only be performed after previous implant action expires.

Disulfiram blocks aldehyde dehydrogenase enzyme responsible for acetaldehyde breakdown – toxic alcohol metabolite. After alcohol consumption acetaldehyde accumulates in body, causing disulfiram reaction: nausea and vomiting, severe headache, shortness of breath, accelerated heartbeat, blood pressure drops, facial flushing, metallic taste in mouth. Symptoms appear within minutes of alcohol consumption. Reaction intensity depends on amount of alcohol consumed – in extreme cases may be life-threatening.

Implant is placed under skin in gluteal area, under gluteal muscle fascia. This location is chosen for several reasons: offers adequate tissue amount for implantation, reduces risk of accidental implant damage in daily use, is less pain-sensitive than other body parts, and also ensures discretion – implant is invisible and impalpable after healing.

During procedure Disulfiram is used, known under trade name Esperal. Mechanism of action involves blocking aldehyde dehydrogenase enzyme, which breaks down acetaldehyde – alcohol conversion product. After alcohol consumption during therapy aldehyde accumulates in body, inducing unpleasant symptoms deterring from drinking.

Esperal implantation procedure takes 20 to 30 minutes and is performed on outpatient basis – patient doesn't need to stay in hospital. Process itself involves placing disulfiram tablets under muscle fascia through small skin incision. Procedure is performed under local anesthesia.

Esperal blocks acetaldehyde conversion to acetic acid – natural alcohol metabolism stage. When person with implant drinks alcohol, toxic aldehyde accumulates in body, causing symptoms significantly stronger than regular hangover: severe nausea, vomiting, headache, shortness of breath, blood pressure drops. Action appears almost immediately after alcohol consumption and effectively deters from drinking.

Implant alone doesn't cure addiction – prevents drinking for 8-12 months. Most effective way to fight alcoholism is comprehensive therapy including: alcohol detoxification (body liberation from toxins after binge), Esperal implant (pharmacological barrier against alcohol) and psychotherapy (working through addiction causes and building new habits). Patients combining these elements have significantly greater chances of lasting sobriety.

Sick leave is not required – directly after procedure can return to normal activities, including work. Only need to maintain dressing hygiene and avoid significant physical exertion for first days.

Esperal implantation procedure is not reimbursed by National Health Fund. Procedure cost at Nasz Gabinet Warsaw starts from 799 PLN for Standard package, and VIP and Exclusive packages prices reach about 2000 PLN depending on chosen option.

Yes, Esperal implantation procedure is always performed by experienced doctor in specialized procedure room. Before procedure patient undergoes medical consultation, medical interview and gives informed written consent for procedure.

Procedure is performed under local anesthesia, so patient only feels prick when administering anesthesia. Implantation procedure itself is painless. After procedure minor tenderness may occur at incision site, which subsides within few days.

For standard implant and higher packages dissolvable stitches are used, which don't require removal – they are absorbed spontaneously. Basic implant uses non-dissolvable stitches, which need to be removed after about 2 weeks (cost 50 PLN).

Before procedure absolute alcohol abstinence for minimum 24 hours (optimally 48 hours) is mandatory. Fasting not required nor doctor referral. Worth bringing identity document and preparing list of medications taken and information about chronic diseases. After procedure patient returns home independently.

After Esperal implantation procedure there are no contraindications to driving car or operating machines, if patient feels well. Medication itself doesn't negatively affect psychophysical fitness. For first 24 hours however caution recommended due to local anesthesia action.

Technically surgical implant removal is possible, however we strongly advise against such procedure. Removal requires surgical intervention with full operation risks. Moreover disulfiram may already be partially absorbed into body, so implant removal doesn't guarantee immediate medication action cessation. Instead of implant removal we recommend continuing therapy and work with psychotherapist on causes of desire to return to drinking.

Implant works properly. Disulfiram reaction strength depends on amount of alcohol consumed, consumption pace and individual metabolism. With small doses symptoms may be mild or delayed. This doesn't mean however that disulfiram stopped working – body temporarily copes with toxins. It's a dangerous game: increasing alcohol dose, fatigue, illness or dehydration can trigger full life-threatening reaction. Many patients end up in hospital precisely after period of "unpunished" drinking small amounts.

Absolute contraindications are: disulfiram hypersensitivity, severe heart diseases (failure, coronary disease, past infarction), severe liver or kidney failure, pregnancy and breastfeeding, mental disorders (schizophrenia, psychoses), peripheral neuropathy and simultaneous metronidazole use. Relative contraindications (requiring consultation): diabetes, hypothyroidism, epilepsy, arterial hypertension. Before procedure every patient undergoes medical qualification.

In Poland anti-alcohol injection doesn't exist. The only available method of pharmacological implantation is disulfiram for implantation (Disulfiram WZF) – this is the only registered such preparation on Polish market. All anti-alcohol injection offers should be treated as fraud.

REVIEWS THAT MATTER

Reviews about alcohol implant Warsaw

Nasz Gabinet is a private medical facility specializing in addiction treatment. We provide comprehensive care from the first consultation to long-term support.

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Excellent doctor

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Great clinic, you don't wait long and the staff is very nice

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Full professionalism, procedure done instantly without the slightest discomfort. Highly recommend!

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Quick, efficient and painless. Highly recommend!

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Fast appointment. Very efficient service by the doctor. Procedure done efficiently, no complications.

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Nice and professional service. Highly recommend.

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Good service, reasonable prices. Cleanliness and order. Recommend.

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Full professionalism and very kind and reliable approach. Highly recommend!

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Learn more about Esperal implant in Warszawa

LOCATION

How to find us in Warsaw?

Nasz Gabinet Warsaw

Address
Gawędziarzy 18a
04-401 Warszawa
Opening hoursPon - Nie: 8:00 - 20:00
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Alcohol implant Warszawa

Book your Esperal procedure today

Benefit from professional help in treating alcohol addiction. The Esperal alcohol implant is a proven method supporting sobriety.

Gawędziarzy 18a, 04-401 Warszawa